DR. CRESTLEY PATRICIA WONG OD
NPI 1811663594
Optometrist in Sierra Vista, AZ
About Dr. Crestley Patricia Wong Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRESTLEY PATRICIA WONG OD (NPI 1811663594) is an individual optometrist in Sierra Vista, Arizona, licensed in California (34923) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Crestley Patricia Wong Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Crestley Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Le Grand, CA 95333
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Sacramento, CA 95825
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIERRA VISTA, AZ 85635
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crestley Wong's NPI number?
The NPI number for Crestley Wong is 1811663594. It was assigned to this individual provider in the NPPES registry on August 21, 2021.
Where is Crestley Wong located?
Crestley Wong practices at 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635. The listed phone number is (520) 459-1529.
What is Crestley Wong's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Crestley Wong enrolled in Medicare?
Yes. Crestley Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Crestley Wong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crestley Wong reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Le Grand, CA) and Griffin & Reed A Medical Corporation (Sacramento, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crestley Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crestley Wong accept?
Health plans from Providence Health Plan list Crestley Wong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Crestley Wong was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Crestley Patricia Wong, OD · NPI 1811663594
Optometrist provider in Sierra Vista, Arizona. Individual provider, active in the CMS NPPES registry since August 21, 2021.
## Identity
- **NPI:** 1811663594 (Entity type: Individual)
- **Enumerated:** August 21, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34923 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 N CORONADO DR STE A, Sierra Vista, AZ 85635-6359
- **Phone:** (520) 459-1529
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Golden Valley Health Center (NPI 1356325310, Le Grand, CA); Griffin & Reed A Medical Corporation (NPI 1487707667, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** August 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811663594) · Data from the CMS NPPES public registry.